HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Hirokazu Ohashi Masateru Onaka Permission Requests Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Fujii, H. Articles by Onaka, M. Search for Related Content PubMed PubMed Citation Articles by Fujii, H. Articles by Onaka, M. Related Collections Cardiac - other

Eur J Cardiothorac Surg 2002;22:319-320
© 2002 Elsevier Science NL

Case report

Open heart surgery for posttraumatic inferior vena caval thrombosis

Department of Cardiovascular Surgery, Fukui Cardiovascular Center, Shinbo 2-228, Fukui city, 910-0833 Japan

Received 24 January 2002; received in revised form 23 April 2002; accepted 29 April 2002.

* Corresponding author. Tel.: +81-766-54-5660; fax: +81-766-53-2132
e-mail: fcc20{at}lilac.ocn.ne.jp

A 40-year-old woman was diagnosed as intrahepatic hematoma after blunt abdominal trauma. One month later computed tomography (CT) revealed the inferior vena caval thrombus extending into the right atrium. Emergency thrombectomy was performed under cardiopulmonary bypass. We believe that the thrombus, which was derived from laceration of the hepatic vein, extended through the inferior vena cava into the right atrium, and was the eve of pulmonary embolization. CT study should be repeated, once the intrahepatic hematoma was recognized. We emphasize that we should recognize the existence of such complication to prevent the catastrophic result.

Key Words: Inferior vena caval thrombosis • Trauma • Open heart surgery